The tendonitis of the Quervain causes severe pain at the wrist when the thumb is stretched. Illustration: Pxhere CC0
Contents
Definition
The Quervains tendonitis causing pain in the thumb's stretching tendons near the wrist.
- The disease is most commonly seen among adult women and congestion is the most common cause.
Disease Cause
This tendonitis is most often triggered by overload over time, for example, in a stressful profession or in sports (golf, tennis). The condition can also occur 1-XNUM months after childbirth-related care. They inflamed the tendons are abductor pollicis longus og extensor pollicis brevis.
- The De Quervain tendonitis is not a symptom of joint disease, connective tissue disorders, Vasculitis or other underlying disease.
Symptoms
- Stabbing pain over the thumb and wrist corresponding to two of the thumb's tendons
- Pain on movement and load and press against the tendon at the wrist
- The pain can radiate into the forearm
- Symptoms can cause the hand not to be used
Diagnosis
Medical history and typical pain along the tendons upon examination. At Finkelstein's test, the affected tendons are stretched and trigger pain
Incorrect diagnosis (Similar conditions, differential diagnoses)
- Osteoarthritis in the thumb's CMC-1 joints
- Pain in the joint
- Ganglion
- Not painful, round swelling
- Nerve damage
Treatment
The Quervain's tendonitis is treated with relief. There are various support rails (orthoses) that can be very helpful in a few weeks. Ibux gel or Orudis gel can be applied to the skin over the pain. Against symptoms, mild painkillers (paracetamol, NSAIDs) may also be used. Some benefit from cortisone injection. Operation is rarely necessary.
Prognosis
This tendonitis is not a symptom of any other underlying disease. However, the condition lasts many weeks or months despite treatment
